This is the registration form for the First Robo.Camp Hosted By Team 987 The Highrollers. Please fill out the questions below.

* Required

Student First Name *

Your answer

Student Last Name *

Your answer

Student Sex *

Female

Male

Member Of Scouts *

Yes

No

Parent First Name *

Your answer

Parent Last Name *

Your answer

Parent E-Mail *

Your answer

Emergency Contact First Name

Same as Parent Listed

Other:

Emergency Contact Last Name *

Same as Parent Listed

Other:

Emergency Contact Phone Number *

Your answer

Vex EDR or IQ *

EDR (Advanced Age 10-15, 2+ Years of Robotic Experience)

IQ (Beginner Age 5-10)

Student Shirt Size *

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Grade 2018-2019 School Year *

Your answer

Would you like to add Catered lunches for 60$

Yes

No

I Give My Child Permission To Check Themselves Out *

Monday

Tuesday

Wednesday

Thursday

Friday

Food Allergies *

No

Other:

Media Release *

Permission for Robo.Camp or Team 987 The Highrollers to release my student's name, photograph, and/or audio/video/film reproduction for use in internal media publications, newspaper articles, television coverage, newsletters (including school newsletters, other than Directory Information in school newsletters which is covered in #1 above), video presentations, and.or school district presentations. I understand that the material ma be reduced to either print or electronic format, and may be utilized in internal media sources.